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Generate impression based on findings. | Male, 71 years old, history of relapsed stage IVB follicular non-Hodgkin's lymphoma. Lymphadenopathy is again noted involving levels 1 through 5 and the bilateral axillae, not significantly changed from the prior examination. Reference lymph nodes are as follows:*Right level 2 lymph node measures 1.6 x 1.6 cm (series 6... | 1.Stable lymphadenopathy.2.There is a new right pleural effusion; please see separate chest CT dictation for complete discussion of thoracic contents. |
Generate impression based on findings. | 42-year-old male with intercranial hemorrhage Redemonstrated are bihemispheric supratentorial and infratentorial multifocal regions of subarachnoid hemorrhage as well as left frontal lobe superior frontal gyrus intracranial hemorrhage. Other than some minimal redistribution, there has been no significant interval chang... | Other than some minimal redistribution, there has been no significant interval change of multifocal bihemispheric supratentorial and infratentorial hemorrhages. |
Generate impression based on findings. | Female; 61 years old. Reason: persistent colonic dilatation s/p BE, now w/ ventral hernia, rule out obstruction History: persistent colonic dilatation s/p BE, now w/ ventral hernia, rule out obstruction Streak artifact from retained barium limits evaluation in the right lower quadrant.ABDOMEN:LUNG BASES: No significant... | 1.Narrow-mouthed ventral hernia containing an enhancing loop of bowel and surrounding edematous fluid suspicious for mesenteric vascular insufficiency.2.Large loculated fluid collection with enhancing wall located in the posterior pelvis.These results were discussed with Dr. Abbo by Dr. Masse on 12/27/13 at 1420. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: No pulmonary or pleural metastases.MEDIASTINUM AND HILA: No evidence of lymphadenopathy.Right jugular port catheter, tip at SVC level.CHEST WALL: Degenerative abnormalities affect the thoracic spine.UPPER ABDOMEN: Absence of ente... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 58-year-old female. Reason: h/o met HNC, compare to previous, measurements pls History: none. CHEST:LUNGS AND PLEURA: Interval increase in size of all previously identified pulmonary metastases. No definite new metastases are identified.A right apical nodule measures 35 x 22 mm (image 26, series #4), from previously 26... | 1.Increase in size of lung nodules, with no new nodules identified.2.New diffuse, scattered bilateral centrilobular groundglass opacities, with resolution some previously seen mild ground glass opacities, consistent with aspiration. |
Generate impression based on findings. | Male 71 years old; Reason: history of relapsed stage IVB follicular lymphoma, diagnosed originally in 2010 History: history of relapsed stage IVB follicular lymphoma, diagnosed originally in 2010 CHEST:LUNGS AND PLEURA: Interval development of a right-sided pleural effusion with nodular pleural thickening. Minimal chan... | 1. Interval development of a right pleural effusion.2. Interval enlargment of the mediastinal and axiliary adenopathy.3. Lingular subpleural nodule, and small right upper lobe ground glass nodule are stable. No new thoracic lesions are identified. 4. Stable diffuse retroperitoneal and pelvic adenopathy as measured abov... |
Generate impression based on findings. | Reason: T3N2c M0 BOT SCCA.Completed therapy on 8/3/12. Please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: Scattered benign appearing punctate micronodules are unchanged.There is no sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Mild coronary... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No pulmonary or pleural metastases noted.Stable scarring and groundglass opacities with bronchial wall thickening may be from chronic aspiration.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.A ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Female 61 years old Reason: pt with metastaic breast cancer please assess disease status and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: There is reticulation with associated traction bronchiectasis and bibasilar honeycombing consistent with fibrosis, likely related to the patients history of scler... | 1.Diffuse osseous metastatic disease affecting the axial and proximal appendicular skeleton, consistent with the stated history of metastatic breast carcinoma. Persistent soft tissue mass encircling the distal left ureter which is also suspicious for metastatic disease. 2.Stable fibrotic changes in the lung bases bilat... |
Generate impression based on findings. | Male 50 years old; Malignant neoplasm of the face, head and neck. CHEST: Exam is limited by body habitus.LUNGS AND PLEURA: Paraseptal and centralobular emphysema noted. Vascular congestion seen.MEDIASTINUM AND HILA: Large submandibular lesion measuring 5.5 x 7.3 cm is incompletely characterized on the CT chest. A 1.6 x... | Extremely limited exam given body habitus and positioning as well as lack of contrast materiel. Otherwise:1.Large left submandibular lesion with extensive osseous and nodal metastatic disease as referenced above. |
Generate impression based on findings. | 55-year-old male with T3Nc M0 base of the tongue squamous cell carcinoma. Visualized intracranial contents are unremarkable. Previously demonstrated mucosal thickening in the left maxillary sinus as present.The aerodigestive tract is free of suspicious mass lesions or pathologic enhancement. It previously demonstrated ... | Stable examination with no evidence of recurrent disease in the neck. |
Generate impression based on findings. | 58 year old female. Reason: metastatic thyroid ca to lungs, on therapy, eval for disease, compare to previous with measurements. CHEST:LUNGS AND PLEURA: The previously seen right apical micronodule is again not visualized and is presumed to be resolved. No suspicious pulmonary nodules identified. Left upper lobe calcif... | No evidence of metastatic disease. |
Generate impression based on findings. | 20-month-old male with abdominal distention ABDOMEN:LUNG BASES: Dependent, bibasilar atelectasis.LIVER, BILIARY TRACT: There is a multiloculated cystic mass measuring 10.4 x 14.3 x 16.1 cm with enhancing septa arising from the liver or perhaps abutting the liver. Mass appears to be situated in the region of the falcifo... | Large multiloculated cystic intra-abdominal mass with enhancing septa as described above. Differential includes mesenchymal hamartoma if the mass is of hepatic origin or mesocolon/mesenteric cyst (lymphangioma). |
Generate impression based on findings. | Reason: Persistent pain after treatment for right base of tongue cancer History: as above CHEST:LUNGS AND PLEURA: Benign-appearing micronodules, with no sign of pulmonary or pleural metastases.Mild subpleural reticulation is present in the upper lung zones and there is lung zone bronchial wall thickening.MEDIASTINUM AN... | No evidence of metastatic disease, or other significant abnormality. |
Generate impression based on findings. | 64-year-old male. Reason: 63M with NSCLC s/p RT. CHEST:LUNGS AND PLEURA: Right lower lobe linear opacities are unchanged from prior exam and most compatible with postradiation changes. High density suture material is again noted.The previously noted new right-sided micronodules most prominent in the lower lobe are unch... | 1.Unchanged post surgical/radiation changes in the right lower lobe.2.Stable micronodules with no new suspicious nodules identified in the lungs. Clustered micronodules in the right mid lung may represent atypical infection versus metastases. |
Generate impression based on findings. | 58 year-old male with metastatic renal carcinoma and pancreatic microadenoma. Status post open left radical nephrectomy, distal pancreatectomy, and splenectomy complicated by pancreatic leak further complicated by intra-abdominal abscess. Now status post stent and drain removal. Assess for a repeat fluid collection. AB... | 1. Interval development of a large loculated fluid collection along the left rectus muscle with an associated enhancing capsule. While these findings are suspicious for abscess formation/infection, a prior rectus sheath hematoma/hemorrhage could also be considered in the correct clinical setting. 2. Small left pleural ... |
Generate impression based on findings. | 71 year-old female. Early lung cancer status post SBRT in left lung. History of left upper lobe NSCLC status post definitive RT completed 3/2013. CHEST:LUNGS AND PLEURA: Left upper lobe opacity with an elongated configuration suggestive of scarring and subsegmental atelectasis measures 17 x 25 mm, not significantly cha... | Stable left upper lobe scarring/subsegmental atelectasis and possible left upper lobe indolent adenocarcinoma with no new sites of disease. |
Generate impression based on findings. | Neoplasm of uncertain behavior of other specific sites. No additional information is provided. Review of prior radiology consultation form from 5 -- 19 -- 13 indicates history of juvenile nasal angiofibroma. Enhanced Medtronic fusion sinus CT:Since prior exam there is evidence of significant interval decrease size of p... | 1.Interval near complete resolution of previously noted enhancing tumor in the right nasopharynx consistent with patient's known juvenile angiofibroma.2.Very ill-defined tiny residual enhancement is noted immediately lateral to the right pterygoid plate and minimally lateral to a surgically placed clip at the site is i... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified micronodules.No new suspicious pulmonary nodules or masses.No pleural effusions..Mild upper lobe predominant emphysema.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac s... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: pancreatic cancer staging History: pancreatic cancer staging LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules compatible compatible with a prior granulomatous disease. No suspicious pulmonary nodules or masses.No pleural effusionsMEDIASTINUM AND HILA: Calcified hilar mediastinal lymph nodes, ... | 1.No evidence of intrathoracic metastatic disease.2.Interval placement of a biliary stent with pneumobilia and reduction in intrahepatic biliary dilatation.3. Small hypodensity in segment 5, which in retrospect was present on the prior exam is suspicious of an hepatic metastasis. Magnetic resonance imaging of the liver... |
Generate impression based on findings. | Female; 76 years old. Reason: evaluate for response. History: sarcoma. CHEST:LUNGS AND PLEURA: Centrilobular emphysema is unchanged. Right upper lobe nodular opacity, but seen on image 21 of series 5, measures 2.2 x 1.2 cm, previously 1.7 x 1.5 cm. Left pleural effusion is unchanged.MEDIASTINUM AND HILA: Extensive medi... | 1.Stable metastatic disease in the thorax without significant change.2.Stable renal lesions bilaterally.3.Chronic compression fracture of T11. |
Generate impression based on findings. | 87 year-old female. Cough, diaphoresis since September 2013 with no real change in symptoms. CXR with questionable pneumonia in October, RLL superior segment nodule/infiltrate seen. Treated with antibiotics. LUNGS AND PLEURA: 6.5 x 2.3 cm wedge shaped consolidation with air bronchograms and a few coarse calcifications ... | Right lower lobe 6.5 x 2.3 cm wedge shaped consolidation with air bronchograms. Given it appears roughly stable from 10/2013 CXR and its configuration, chronic consolidation/atelectasis is the likely etiology. No other pulmonary or pleural abnormalities identified. |
Generate impression based on findings. | 71-year-old female. Reason: massive PE History: SOB. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. Massive filling defect in the distal main pulmonary artery extending through the entire right pulmonary arterial system and slight extension into the left pulmonary artery, similar in... | 1.Unchanged massive, extensive filling defect in the main and right pulmonary arteries. Stable associated flattening of the interventricular septum.2.Numerous bilateral pulmonary nodules, unchanged though suspicious for metastatic disease. |
Generate impression based on findings. | 67-year-old male with history of chronic lymphoid leukemia, on ofatumumab, for reevaluation. Scattered adenopathy seen on the prior examination, involving all spaces of the neck as well as the sub-pectoral and axillary regions, has improved with reference measurements as follows:1. Right submental (series 7 image 33): ... | Continued improvement of cervical lymphadenopathy. |
Generate impression based on findings. | Clinical question: History low grade 3 anaplastic astrocytoma on therapy. Signs and symptoms: Headache and blurry vision. Rule out bleed or progression. Unenhanced head CT:Examination demonstrate no evidence of acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Th... | 1.No detectable acute intracranial process.2.Interval complete resolution of previously noted left hemispheric hematoma and decreased previously seen edema.3.There is interval better visualization of cortical sulci and ex vacuo dilatation of the left lateral ventricle.4.Residual parenchymal attenuation and adjacent cer... |
Generate impression based on findings. | 45-year-old female with venous thrombosis There has been partial resolution of previously demonstrated right internal jugular vein thrombosis, now demonstrating recannulation along its superior aspect, with venous flow enhancement evident from the skull base to the level of the thyroid cartilage. Below this level, ther... | There has been partial resolution of previously demonstrated right internal jugular vein thrombosis, now demonstrating recannulation along its superior aspect, with venous flow enhancement evident from the skull base to the level of the thyroid cartilage. Below this level, there continues to be lack of lumenal enhancem... |
Generate impression based on findings. | Critical portion: History of head and neck cancer and CRT. Compared to prior exam and provide measurements. Signs and symptoms: None. Enhanced neck CT:There is no measurable soft tissue thickening/tumor in the supraglottic larynx which remains stable since prior exam.The following reference nodes artery measured after ... | 1.No measurable soft tissue thickening/tumor.2.Interval decreased size of all previously known/measured reference nodes in bilateral neck as detailed/measured above. |
Generate impression based on findings. | 69-year-old female patient with history of ovarian cancer, currently receiving treatment. Please evaluate for disease progression/response. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. The reference right hilar lymph node measures 1.1 by 1.0 cm,... | Stable examination with no significant interval change in reference nodes. |
Generate impression based on findings. | 63 -year-old M with lung cancer s/p resection. Additional history: Left upper lobe resection. CHEST:LUNGS AND PLEURA: No suspicious nodules identified. Interval resolution of dense focal left upper lobe airspace opacity. Postsurgical volume loss from left upper lobe resection. Mild centrilobular emphysema.MEDIASTINUM A... | 1.Resolution of left upper lobe infection.2.Decrease in lymphadenopathy with no new sites of disease. |
Generate impression based on findings. | 62 year-old female with history of anaplastic thyroid cancer. Small interhemispheric fissure lipoma. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemo... | 1. Status post thyroidectomy. Small amount of soft tissue in the right thyroid bed, which is nonspecific. Continued followup is recommended. 2. No cervical lymphadenopathy. 3. No intracranial metastasis. |
Generate impression based on findings. | Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Stable granulomasMEDIASTINUM AND HILA: Stable reference right paratracheal lymph node best seen on image 28 measuring 1.6 x 1.9 cm.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable hepatic cysts.SPLEEN: No significant abnormality noted.PANCREAS:... | Stable examination. No new adenopathy. |
Generate impression based on findings. | 60 yo M with asthma and incidentally noted R LL nodule. LUNGS AND PLEURA: No suspicious nodules identified. Scattered micronodules, some calcified, favor benign etiology.Focal linear scarring in the periphery of the right middle lobe extending from the pleura (coronal image 89).MEDIASTINUM AND HILA: No mediastinal or h... | No suspicious pulmonary nodules identified. |
Generate impression based on findings. | 62 year old female. h/o anaplastic thyroid ca, lung lesion, compare to previous, measurements. CHEST:LUNGS AND PLEURA: Bilateral pulmonary emboli at the bifurcation of both the right and left pulmonary arteries.The previous identified right lower lobe nodule is now cavitated with a thin rim measuring 10 mm, consistent ... | 1.New bilateral pulmonary emboli identified extending to the segmental branches of the right and left pulmonary arteries.2.Cavitation of a previous identified right lower lobe nodule is consistent with treatment response.3. New micronodule suspicious for new metastasis. Continue follow-up is recommended. 4. Findings we... |
Generate impression based on findings. | Male; 56 years old. Reason: Evaluate for interval change History: Metastatic esophageal adenocarcinoma with known brain lesions. Now presents with nausea, vomiting and vision changes (issues with depth perception). The patient is s/p right frontoparietal craniotomy, with near-complete interval resolution of postsurgica... | 1.Stable vasogenic edema in the right frontoparietal lobe, with interval development of vasogenic edema in the left parieto-occipital lobe associated with a hyperdense left occipital mass. While this finding presumably represents progression of metastatic disease, MRI can be obtained for further characterization. 2.Int... |
Generate impression based on findings. | 68 year-old female who febrile, evaluate for sinusitis The orbits are unremarkable. The limited view of the brain parenchyma show a surgical clip in the right side suprasellar region, likely represent a aneurysm clip, and craniotomy change. The maxillary sinuses are clear as are ostiomeatal units. The frontal sinuses, ... | 1.Clear paranasal sinuses.2.Fluid is present within bilateral mastoid air cells (left greater than right) as well as within the left middle ear cavity. However, this is a common finding in the intubated patient. |
Generate impression based on findings. | 68-year-old female with altered mental status and sidebar with unknown source. Evaluate for infection. History of lung cancer. CHEST:LUNGS AND PLEURA: Status post left upper lobectomy with volume loss in the left lung with similar appearance to prior chest CT examination. Left pleural effusion and atelectasis again see... | 1. Persisting left pleural effusion with basilar atelectasis and near resolution of right pleural effusion with minimal atelectasis. 2. Multiple foci of bony metastases involving the left anterior chest wall and the iliac bones, as described above. 3. Probable liver metastases. 4. Multiple enlarged left axillary lymph ... |
Generate impression based on findings. | 86 year old female. Reason: assess for PE History: tachcardia, sob. PULMONARY ARTERIES: Respiratory motion artifact severely degrades exam quality. No pulmonary embolus identified in the main or lobar pulmonary arteries.LUNGS AND PLEURA: Moderate right and small left pleural effusion with associated compressive atelect... | 1.Exam severely limited by respiratory motion artifact. No central or lobar pulmonary embolism.2.Cardiomegaly with bilateral pleural effusions, right greater than left. |
Generate impression based on findings. | 52 year old female. Reason: assess for pe History: hx multiple PE's, sob, recent immobilization. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus identified.LUNGS AND PLEURA: Scattered calcified micronodules consistent with prior granulomatous disease. Mild poster... | No evidence of pulmonary embolism or other pathology to explain shortness of breath. |
Generate impression based on findings. | 66 year old female with chest pain. PULMONARY ARTERIES: Technically adequate examination for evaluation of pulmonary embolism. No pulmonary embolus identified.LUNGS AND PLEURA: Masslike consolidation in the lingula measures 32 x 19 cm (series #9, image 91), could represent atelectasis, however, malignancy cannot be exc... | 1.No pulmonary embolism identified.2.Masslike consolidation in the lingula may represent atelectasis, though malignancy cannot be excluded. Recommend follow-up examination in 3 months. |
Generate impression based on findings. | Male; 54 years old. Reason: abscess perineum History: abscess PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: The bladder is moderately distended with diffuse wall thickening likely secondary to chronic inflammation.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abno... | 1.Perineal abscess as described above. If there is clinical concern for fistulous communication with bowel, consider MRI for further evaluation. |
Generate impression based on findings. | Female; 39 years old. Reason: r/o obstruction and location of GJ-Tube History: diffuse abd pain Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality... | Coiled/knotted gastrojejunostomy tube and mild proximal small bowel dilatation. Ileus is favored over partial obstruction. |
Generate impression based on findings. | Female; 32 years old. Reason: evalute for acute abdomen, possible cholecystitis History: abd pain ABDOMEN:Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:LUNG BASES: No significant abnormali... | 1.Cholelithiasis and choledocholithiasis with possible gallbladder wall thickening. An inflammatory process of the gallbladder cannot be excluded. Consider an abdominal ultrasound for further evaluation.2.Minimal common bile ductal dilatation. |
Generate impression based on findings. | Clinical impression: Evaluate for intracranial hemorrhage; compared to prior exam. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:Small focus of hemorrhage in the left cerebellum is again identified and without appreciable change.Focus of parenchymal hemorrhage and subarachnoid hemorrhage with sev... | 1.Stable multiple foci all parenchymal and subarachnoid hemorrhage some with minimal surrounding edema and subtle regional mass-effect since prior exam.2.No convincing evidence of any new focus of hemorrhage.3.Tiny hemorrhage in the dependent portion of right occipital lobe remains also stable.4.Normal size of ventricu... |
Generate impression based on findings. | Reason: 80 M with interstitial infiltrates on cxr History: hypoxic LUNGS AND PLEURA: Moderate to severe centrilobular and paraseptal emphysema.Basilar predominant traction bronchiectasis and probable honeycombing compatible with UIP.Diffuse groundglass opacities with basilar areas of consolidation/atelectasis.Scattered... | 1.Evidence of basilar predominant moderate to marked interstitial lung disease in a UIP pattern. In addition, there is concomitant emphysema.2.Groundglass opacities and basilar areas of consolidation suggests a superimposed acute process including infection, edema, or possibly aspiration.3.Cardiomegaly with marked prom... |
Generate impression based on findings. | Female; 56 years old. Reason: obstruction History: abdominal pain, emesis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | Moderately dilated loops of distal small bowel without evidence of discrete transition point to suggest obstruction, although a partial obstruction at the stoma cannot be excluded. An ileus is favored over an obstruction.These results were discussed with Dr. Bishop on 12/28/13 at 0930. |
Generate impression based on findings. | Clinical question: Cognitive decline. Signs and symptoms: Cognitive decline. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- whit... | Negative nonenhanced head CT. |
Generate impression based on findings. | 44-year-old female with moyamoya and intracranial hemorrhage. Postsurgical changes s/p right craniectomy for cerebral edema decompression and associated mild transcranial herniation are again noted. As before there is diffuse right hemispheric edema with loss of gray-white interface due to prior infarction. Effacement ... | 1.Postsurgical changes s/p right craniectomy for diffuse cerebral edema decompression, with stable mild transcranial herniation and 7 mm leftward midline shift. 2.Minimal interval enlargement in size of left lateral ventricle.3.No significant interval change in right basal ganglia and subarachnoid hemorrhage. |
Generate impression based on findings. | Female; 30 years old. Reason: assess for ovarian cyst, or other intra-abd process History: 10/10 LLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | No radiographic evidence to account for the patient's symptoms. |
Generate impression based on findings. | 73-year-old female patient with proximal humerus fracture. There is a comminuted fracture of the proximal humerus, as seen on recent radiographs, that includes a complete transverse fracture through the surgical neck. The fracture plane extends into the inferior aspect of the glenohumeral joint, and there just over 1 c... | Proximal humerus fracture as described above. |
Generate impression based on findings. | 73-year-old male. Reason: assess known LV clot burden History: assess clots. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus identified. Previously seen clot in the lateral segmental branch of the right middle lobe is not identified on this exam.LUNGS AND PLEURA:... | 1.Previously identified pulmonary embolus in right middle lobe lateral segmental branch is resolved.2.Decreased right and unchanged left pleural effusions.3.Ascites no longer seen. |
Generate impression based on findings. | Clinical question: Brain vasculature. Signs and symptoms: Left MCA stroke. Nonenhanced head CT:The examination redemonstrates a subacute nonhemorrhagic left MCA territory stroke involving the left temporal, left frontal and left basal ganglia. No significant change since prior exam in its extent, associates or mass eff... | 1.Nonenhanced head CT demonstrate stable subacute nonhemorrhagic large left MCA territory ischemic stroke without interval change. Chronic right cerebellar ischemic stroke and unremarkable head CT otherwise and stable since prior study.2.Enhanced neck CTA is unremarkable for any significant mass permanent compromise. P... |
Generate impression based on findings. | Reason: question right lower lobe aspiration pneumonia on cxr, immunocompromised, sputum productoin History: question right lower lobe aspiration pneumonia on cxr, immunocompromised, sputum productoin LUNGS AND PLEURA: Scattered areas of ground glass with basilar predominant septal thickening, compatible with edema.Mil... | Bilateral pleural effusions with predominantly interstitial pulmonary edema compatible with CHF. Mild basilar atelectasis without specific evidence of acute infection or aspiration. |
Generate impression based on findings. | Male 49 years old; Reason: S/P LVAD. Eval for fluid collection or occult focus with blood cultures positive History: Bacteremia The exam is not sensitive detecting lesions in the solid organs are vasculature due to the lack of intravenous contrast. Streak artifact in the upper abdomen due to Cardiac Assist device. Give... | Nonspecific perinephric fat stranding bilaterally correlate clinically to rule out UTI or bilateral pyelonephritis. |
Generate impression based on findings. | Male 60 years old Reason: re-evaluate disease status after additional systemic therapy. compare to previous and provide bi-dimensional measurements TY History: stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Patchy opacities with some groundglass character is seen multifocally in the right upper lobe left upper lo... | New multifocal areas of airspace opacity concerning for infection or chemotherapy effect. Some of the lesions in the left lower lobe other nodular character and can be followed from the possibility of metastases. No suspicious lesions seen anywhere else.Cholelithiasis. |
Generate impression based on findings. | Male 73 years old Reason: baseline exam prior tostartin new systemic therapy History: hx of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Multifocal lung nodules of increased in size and number. For baseline purposes a lesion in the right upper lobe medial aspect, series 5 image 38 measures 1.3 x 0.9 cm. On the ... | Metastatic lesions in the lungs, mediastinal nodes, bones, right adrenal gland and liver. Progression of disease. Other findings as above. |
Generate impression based on findings. | For IRB 12-2221, must use water only for oral contrast prep. Must include arterial phase Chest and Upper Abdomen. Call HIRO for questions 2-9172. Re-evaluate disease status following new systemic therapy compared to prior scan and provide bi-dimensional Signs and Symptoms: stage iv metastatic melanoma. CHEST:LUNGS AND ... | Interval increase in some of the lung lesions and splenic lesion. No new sites of disease. |
Generate impression based on findings. | Male 52 years old; Reason: 52 year-old male with possible ventral hernia vs approximately 1 cm palpable lipoma or mass (located 3-4 cm superior to and 1 cm to the right of the umbilicus) History: as above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN... | 1.Some subtle signs raising the question of a past history of inflammatory bowel disease.2.No mass evident around the umbilicus.3.Possible right epididymal cyst and varices in the inguinal canals, correlate for testicular symptoms. |
Generate impression based on findings. | Diagnosis: Abdominal pain, unspecified site. Clinical question: Eval for obstruction, free fluid, pyelo, cyst. Signs and Symptoms: diffuse pelvic pain Limited by body habitus.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality note... | Small amount of fluid in the pelvis and in the left paracolic gutter of uncertain etiology. Correlate clinically as to need for transvaginal ultrasound. If symptoms significantly worsen follow up exam may be obtained. Possible non-obstructing adhesions pelvic loops of bowel. |
Generate impression based on findings. | 43-year-old male. Diagnosis: Melanoma of skin, site unspecified. Examination of participant in clinical trial. Clinical question: For IRB 12-2221, must use water only for oral contrast prep. Must include arterial phase Chest and Upper Abdomen. Call HIRO for questions 2-9172. Re-evaluate disease status following new sys... | Increased in size of index lesions. No new sites of disease. |
Generate impression based on findings. | Male 65 years old; Reason: assess for abscess, sbo History: abd pain, vomiting Exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER,... | 1.Limited exam. Increase in ascites. No evidence of bowel obstruction. Other findings as above. |
Generate impression based on findings. | Male 41 years old; Reason: Abd pain, ascites, known liver failure History: above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic morphology. Varices. No definite focal lesions. Perihepatic ascites. No obvious biliary dilatation. The gallbladder is distended but there is no wall thi... | 1.Cirrhosis, varices, ascites and splenomegaly.2.Severe colonic wall thickening concerning for colitis.3.Severe duodenal and proximal jejunal wall thickening concerning for ileitis or ischemia. Correlate clinically. No definite findings of bowel necrosis. |
Generate impression based on findings. | Clinical question: Eval for mets, pyelo. Signs and Symptoms: flank pain. Tech Comments: pt has a neobladder+R Flank Pain 1 month. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | No findings to explain patient's symptoms. Expected postsurgical changes. |
Generate impression based on findings. | Diagnosis: Fitting and adjustment of other gastrointestinal appliance and device. Clinical question: r/o bowel obstruction. The exam is not sensitive for detecting lesions in the solid organs or vasculature due to the lack of intravenous contrast. Given those limitations, the following observations are madeABDOMEN:LUNG... | Findings consistent with high-grade but incomplete small bowel obstruction. Atherosclerotic disease with aneurysms as above. Limitations of no IV contrast.Concern for right lower lobe pneumonia. |
Generate impression based on findings. | Diagnosis: Universal ulcerative (chronic) colitis. Clinical question: Leukocytosis. Signs and Symptoms: Leukocytosis ABDOMEN:LUNG BASES: Atelectasis right lower lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Dilated small bowel concerning for early postoperative obstruction due to adhesions. Correlate for possibility of early ischemia given short segment thrombus in the mesenteric vein and partial long segment thrombus in and inferior mesenteric vein. Small to moderate amount of ascites. Pneumoperitoneum consistent with re... |
Generate impression based on findings. | Clinical question: patient with hx of cancer of unknown origin (colon vs cervix) admitted for amsSigns and Symptoms: patient with hx of cancer of unknown origin (colon vs cervix) admitted for ams ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The contour of the liver is lobular. I believe the... | Findings consistent with carcinomatosis. Severe anasarca. Scalloped liver contour cirrhosis versus carcinomatosis. Splenic lesions most likely related to carcinomatosis.Bilateral hydronephrosis and hydroureter.Other findings as above. |
Generate impression based on findings. | Male 30 years old; Reason: assess spleen History: mass found on xray ABDOMEN:LUNGS BASES: No significant abnormality noted.No evidence of any healed rib fractures to suggest trauma to the left upper quadrant given the splenic finding.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Noncalcified 7.3-cm flu... | 1.Large calcified splenic cyst. |
Generate impression based on findings. | Clinical question: obstruction? diverticulitis? Signs and Symptoms: diverticulosis, colostomy, p/w emesis/nausea/abd pain, no flatus or BM for 2 days. The exam is not sensitive at detecting lesions in the solid organs or vasculature due to the lack of intravenous contrast. Given those limitations, the following observa... | Incomplete small bowel obstruction possibly at the hernia neck. Other chronic findings as above. |
Generate impression based on findings. | 57 year old female. Clinical question: h/o abdominal pain, vomiting, nausea; c/f diverticulitis. Additional history from prior exam indicates history of non-Hodgkin's lymphoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cystectomy clips. No biliary dilatation. No focal liver lesions. Ther... | Signs of adhesions in the loops of small bowel in the pelvis with some areas that might be thickened raising the question of a low-grade ischemia but no frank obstruction intramural air or free air.No pathologic size lymph nodes.New area of focal fatty deposition in medial segment left lobe of the liver. |
Generate impression based on findings. | 53 year old female. Clinical question: Eval for sbo, internal hernia. Signs and Symptoms: abdominal pain and distention ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Probable nonobstructive adhesions. Small amount of free fluid. Focal postsurgical collection in the subcutaneous tissues of the left abdominal wall is nonspecific. Correlate clinically to rule out infection. Also correlate regarding expected gastric postsurgical anatomy. |
Generate impression based on findings. | Female 75 years old Reason: rule out PE, new right sided heart strain PULMONARY ARTERIES: The study is technically adequate. The main pulmonary artery measures 3.0 cm in maximal diameter, which is greater than the upper limit of normal and can be seen in the setting of pulmonary arterial hypertension. Reflux of contras... | 1.No evidence of pulmonary embolus as clinically questioned.2.Enlarged main pulmonary arteries, which is nonspecific but can be seen in the setting of pulmonary arterial hypertension.3.Cardiomegaly and suggestion of elevated right heart pressure.4.Interval placement of a right-sided chest tube with near complete resolu... |
Generate impression based on findings. | Male 20 years old Reason: persistent tachycardia, rule out PE PULMONARY ARTERIES: The study is technically adequate. No filling defects within the pulmonary arterial vasculature are evident. The pulmonary artery measures 2.4 cm maximal diameter.LUNGS AND PLEURA: There has been moderate interval improvement in the right... | 1.No evidence of pulmonary embolus as clinically questioned.2.Mild improvement of the right lower lobe consolidation though there has been development of multifocal patchy consolidation throughout the right middle and lower lobes, may be related to aspiration, endobronchial spread of pneumonia, or less likely acute che... |
Generate impression based on findings. | Clinical question: Fall, unknown last of consciousness.Signs and symptoms: Syncope. Nonenhanced head CT:Examination demonstrate subarachnoid hemorrhage primarily in the basal cistern, right sylvian fissure and prepontine cistern and to lesser degree throughout the bilateral cerebral hemispheres (right greater than left... | 1.Subarachnoid hemorrhage most noticeable in the basal cistern, prepontine cistern and right sylvian fissure and to a lesser degree throughout bilateral cerebral hemispheres. Finding highly suspected of aneurysmal rupture and recommend follow-up with CTA.2.Essentially unremarkable nonenhanced head CT otherwise reticula... |
Generate impression based on findings. | Female 58 years old Reason: Patient progressively hypoxic with known acute DVT and IVC filter, rule out PE PULMONARY ARTERIES: The study is technically adequate. The main pulmonary artery measures 2.5 cm in maximal diameter. No filling defects within the pulmonary arterial vasculature to suggest pulmonary embolus.LUNGS... | 1.No evidence of pulmonary embolus is clinically questioned.2.Patchy consolidation in the superior segment of the bilateral lower lobes may present severe pulmonary edema, aspiration or developing pneumonia.3.Bilateral small pleural effusions and associated bibasilar compressive atelectasis.4.Findings compatible with p... |
Generate impression based on findings. | Clinical question: Subarachnoid hemorrhage. Signs and symptoms: Headache. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white dif... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Alteration of mental status. Signs and symptoms: AMS. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic stroke.Revisualization of a large left PCA territory chronic cortical stroke and tiny focus of low-attenu... | 1.No detectable acute intracranial process since prior study.2.Stable changes of chronic strokes as detailed. |
Generate impression based on findings. | Male 40 years old Reason: pulmonary embolus History: chest pain, cough, tachycardia PULMONARY ARTERIES: Evaluation for pulmonary embolus is adequate to the proximal segmental arteries as poor contrast opacification and motion artifact limit the examination. Given these limitations, no large filling defect is evident. T... | 1.Limited examination, but no large filling defect evident centrally. Evaluate of segmental branches is nondiagnostic.2.Moderate bronchial wall thickening suggestive of bronchitis.Findings communicated to ED by radiology resident on call at the time of exam. |
Generate impression based on findings. | Male 54 years old Reason: pulmonary embolus History: Tachycardic and shortness of breath PULMONARY ARTERIES: Technically adequate study. The main pulmonary artery measures 2.7 cm in maximal diameter. There is no evidence of pulmonary embolus. Reflux of contrast into the hepatic veins is a nonspecific finding but may su... | 1.No evidence of pulmonary embolus identified as clinically questioned.2.Reflux of contrast into the hepatic veins is nonspecific but may suggest elevated right heart pressures.3.Multiple roughly 1 cm solid pulmonary nodules as well as a groundglass and solid nodule. Right hilar lymphadenopathy. Though the findings are... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT: No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, cisterns spaces and gray -- wh... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter different... | No acute intracranial process. |
Generate impression based on findings. | Clinical question : Follow up exam for subdural hematoma. Signs and symptoms: Follow-up exam. Nonenhanced head CT:There is no evidence of any new hemorrhage since prior exam. The previously known left-sided small subdural hematoma is barely identifiable on the current exam. There is trace midline shift to the right wit... | 1.No evidence of acute new finding since prior exam.2.A previously seen very small left-sided acute subdural is barely identifiable on the current exam.3.Trace midline shift to the right and paucity of cortical sulci and CSF spaces/cisterns remain identical to multiple prior studies. 4.No change in the normal size of v... |
Generate impression based on findings. | Clinical question: Follow-up on shift, swelling of right hemisphere and new ischemia on the left hemisphere. Signs and symptoms: As above. Nonenhanced head CT:Unremarkable images through posterior fossa and stable since prior exam.There is no convincing areas of any appreciable interval change in the size of right chem... | No convincing evidence of any significant change in the constellation of findings of a very large right hemispheric hemorrhagic stroke, its associated mass effect and midline shift to the left, size of hemorrhage within the stroke, mildly enlarged left lateral ventricle and with minute amount of blood in its dependent ... |
Generate impression based on findings. | Clinical question: Evaluate for progression of intracranial hemorrhage. Signs and symptoms: As above. Unenhanced head CT:Stable focus of acute hemorrhage in the posterior medial aspect of left cerebral with minimal associate is surrounding edema and no appreciable mass-effect.Poorly visualized a small residual hemorrha... | 1.No evidence of new hemorrhage since prior exam.2.Subtle interval decreased density of the left posterior parietal acute proximal hemorrhage all were without change in its size.3.Interval decrease in density and extent of right frontal subarachnoid hemorrhage since prior exam.4.Stable multiple small additional foci of... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: Right-sided weakness. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces an... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Dense right hemiplegia. CTA of neck:The visualized superior aspect of the aortic arch as well as the origins of the major vessels are unremarkable.Brachiocephalic and bilateral subclavian arteries are unremarkable.Right common carotid artery, right internal and ex... | 1.Negative neck CTA.2.Negative head CTA. |
Generate impression based on findings. | Female 58 years old; Reason: eval for acute inflammatory process History: nausea, diarrhea, abdominal discomfort, gap acidosis ABDOMEN:LUNGS BASES: Distal aspect of the central line catheter is noted in the cavoatrial junction.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality not... | 1.No acute intra-abodimal process detected.2.Likely fibroid uterus. Ultrasonographic evaluation advised for full characterization of gyne pathology. |
Generate impression based on findings. | Male, 79 years old, unresponsive, pupils fixed. A large holohemispheric right subdural collection is evident showing areas of variable density and septations likely representing acute on chronic hemorrhage. At its point of maximum thickness laterally the collection measures 3.1 cm. Hemorrhage tracks along the right asp... | Large acute on chronic right holohemispheric subdural hemorrhage. Associated mass effect results in subfalcine, uncal and transtentorial herniation. Findings are also present suspicious for developing edema or ischemia in the frontal lobes, temporal lobes, and brainstem. |
Generate impression based on findings. | Headache. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: pe? History: elevated dimer, pleuritic cp PULMONARY ARTERIES: The quality of this examination is excellent. No pulmonary is identified to the subsegmental level.LUNGS AND PLEURA: Dependent groundglass opacities favor subsegmental atelectasis in this partial expiratory phase. Focus of consolidation in the left p... | No pulmonary embolus.Dependent ground glass opacities favor subsegmental atelectasis. Focus of consolidation posterior left costophrenic angle may represent sequela of sickle cell crisis. Lower in the differential is resolving pulmonary infarct from prior pulmonary embolus, not visualized on today's examination. |
Generate impression based on findings. | 23-year-old female. Reason: Please assess for PE, SOB/cough, positive D dimer History: chest pain, SOB, cough. PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus.LUNGS AND PLEURA: No parenchymal opacities to suggest infection. No pleural effusions. Mild bronchial wall thickening is seen.MED... | No evidence of pulmonary embolism.Mild bronchial wall thickening is consistent with asthma in the appropriate clinical setting. |
Generate impression based on findings. | 55-year-old male patient with significant drainage and purulence on exam. Evaluate for abscess/collection. Note that the examination is limited by the lack of intravenous contrast. There is skin thickening posteriorly with opacification of the underlying subcutaneous fat compatible with edema. The edema extends to the ... | Posterior soft tissue edema and other findings as described above without discrete fluid collection given limitations of lack of intravenous contrast. If there is continued clinical concern for fluid collection or osteomyelitis, MRI may be considered for further evaluation.Findings discussed with ER resident via teleph... |
Generate impression based on findings. | 59-year-old male with gross hematuria. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No renal or ureteral calculu... | No findings to account for patient's symptoms. |
Generate impression based on findings. | Left tonsil squamous cell carcinoma, (stage T2N2B, S/P 5 cycles of TFHX that ended in 2009), history of recurrent right jaw osteomyelitis and bacteriemia from line infection s/p 2 weeks of gentamycin (completed 11/27) admitted with sepsis likely from permacath. Head: Streak artifact from bullet fragments within the rig... | The lack of intravenous contrast limits sensitivity for metastases and infection. With in these limitations, there is no definite evidence of tumor recurrence or change in the sequela of chronic osteomyelitis involving the remaining portions of the left mandible. |
Generate impression based on findings. | 55 year old female with a history of regional enteritis. Status post duodenectomy, and ilio colon resection for complex fistula, now with leukocytosis. Please evaluate for fluid collection. ABDOMEN:LUNG BASES: Moderate -sized bilateral pleural effusions with underlying atelectasis/consolidation.LIVER, BILIARY TRACT: Hy... | 1. Postoperative changes with a moderate amount of abdominopelvic ascites. There is associated enhancement of the peritoneum and loculation of the aforementioned fluid collection in the left hemiabdomen with foci of internal high density debris. These findings are suspicious for peritonitis with early abscess formation... |
Generate impression based on findings. | Female 56 years old; Reason: Eval for SBO, abscess History: abdominal pain ABDOMEN:LUNGS BASES: 5-mm nodule in the right middle lobe. Otherwise, no other nodule or mass detected. Bibasilar atelectasis.LIVER, BILIARY TRACT: Patient is status operative in nature cholecystectomy.SPLEEN: No significant abnormality noted.PA... | 1.No findings to suggest bowel obstruction or abscess as clinically questioned. No specific area of recurrence seen, however PET/CT is a more sensitive modality.2.5mm nodule in the right lung base, CT chest advised for full characterization.3.1cm nodule in the left adrenal gland which is nonspecific but likely an adeno... |
Generate impression based on findings. | 68 year-old male. History of prostate cancer with abnormal CXR, bone metastases. LUNGS AND PLEURA: Scattered micronodules. No suspicious pulmonary nodules or masses. Bilateral apical pleural thickening with fine, curvilinear calcifications, most likely post-inflammatory. More nodular focus of thickening in the right ap... | 1. Biapical pleural thickening with calcifications, most likely post-inflammatory. More nodular focus of thickening in the right apex is suspected to also be post-inflammatory; follow-up CT in 6 months recommended to confirm its benignity. 2. No evidence of lung metastases. 3. Nonspecific sclerotic focus right inferior... |
Generate impression based on findings. | 74-year-old female with nausea and abdominal pain.. ABDOMEN:LUNG BASES:Mild left basilar atelectasis and/or scarring. Stable right lower lung lobe cyst. No pleural effusion.Vascular calcifications of the aorta.Small hiatal hernia.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Calcified tortuous splenic ... | Small bowel obstruction with apparent transition point in the right hemiabdomen. |
Generate impression based on findings. | 73 years old Female. Reason: eval hardware History: difficulty with grasping obj; generalized weakness especially of right hand following surgery Soft tissue detail, particularly involving the C3-4 level, is limited by metallic streak artifact.There is reversal of the normal cervical lordosis. Alignment, including grad... | 1. Post-operative appearance without acute change in alignment, evidence of hardware failure, or fracture. Fine detail at the C3-4 surgical level is limited by streak artifact. Streaky hyperdensity along the ventral bony central canal at this level is highly favored to be artifact opposed to true post-operative collect... |
Generate impression based on findings. | 10-year-old female with right-sided abdominal pain, biliary emesis and fever ABDOMEN:LUNG BASES: Lung basesLIVER, BILIARY TRACT: A no focal hepatic lesions. No biliary ductal dilatation. Gallbladder is normal.SPLEEN: Normal in appearance.PANCREAS: Normal appearanceADRENAL GLANDS: Normal in appearance.KIDNEYS, URETERS: ... | 1.No evidence of appendicitis. |
Generate impression based on findings. | 65 year-old female with left flank pain. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is distended. There is an apparent punctate gallstone in the neck of the ... | 4.5 cm mass with peripheral calcification adjacent to the head of the pancreas which is incompletely characterized on this noncontrast examination. There is fat stranding in the surrounding area. While this may represent necrotic lymphadenopathy, a pancreatic mass lesion cannot be excluded. These findings were discusse... |
Generate impression based on findings. | 56 year-old female. Metastatic breast cancer. Known liver metastases. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Scattered ground-glass opacities with architectural distortion and traction bronchiectasis in both lungs consistent with radiation pneumonitis, unchanged. No suspicious pulmonary nodules or mass... | Stable examination with no significant interval change in right hepatic lobe lesion. No new sites of disease identified. |
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